Stent delivery system having retention structure

ABSTRACT

A stent delivery system including an elongate shaft of a medical device, a stent selectively coupled to a distal portion of the elongate shaft, and a coupling mechanism for selectively coupling the stent to the elongate shaft by inserting a tab on one of the stent or the elongate shaft into an opening in the other of the stent or the elongate shaft. The tab may be deflected from a first position to a second position to disengage the tab from the opening.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No.14/623,264, filed Feb. 16, 2015, which is a continuation of U.S.application Ser. No. 13/164,900, filed Jun. 21, 2011, now granted asU.S. Pat. No. 8,979,824, which claims the benefit of U.S. ProvisionalApplication No. 61/356,872, filed Jun. 21, 2010, the entire disclosuresof which are incorporated herein by reference.

TECHNICAL FIELD

The disclosure is directed to a retention structure of a medical device.More particularly, the disclosure is directed to a stent retentionstructure for selectively securing a stent to a shaft of a stentdelivery system. Specifically, the disclosure is directed to a retentionstructure for selectively securing a drainage stent to a catheter shaft

BACKGROUND

Medical devices, such as catheters, are widely used in various medicalprocedures to access remote anatomical locations and/or deploytherapeutic devices. One exemplary catheter system is a drainage stentdelivery system configured to deliver a drainage stent (e.g., a drainagecatheter) to a body lumen, such as a lumen of the biliary tree or aureter. It may be desirable to releasably connect the drainage stent tothe delivery system in order to provide the medical personnel withcontrol over positioning and deployment of the drainage catheter in abody lumen without premature deployment of the drainage stent from thedelivery system. Some exemplary drainage stent delivery systemsincluding features for releasably connecting a drainage stent to adelivery system are disclosed in U.S. Pat. Nos. 5,921,952 and 6,562,024,the disclosures of which are incorporated herein by reference. Forinstance, a releasable connecting feature in the form of a flexiblethread or suture may be used for releasably connecting the drainagestent to a shaft of the drainage stent delivery system.

However, a need remains to provide alternative embodiments of aretention system to releasably secure a stent, such as a vascular stentor a drainage stent, or other endoprosthesis to a stent delivery system,such as a vascular stent or drainage stent delivery system, which allowscontrolled positioning and deployment of the stent in a body lumen.

SUMMARY

The disclosure is directed to several alternative designs andconfigurations of medical device structures and assemblies including aretention structure for selectively coupling a stent to a deliverysystem.

Accordingly, one illustrative embodiment is a stent delivery systemincluding an elongate shaft of a medical device, a stent selectivelycoupled to a distal portion of the elongate shaft, and a couplingmechanism for selectively coupling the stent to the elongate shaft bypositioning a tab on one of the stent or the elongate shaft intoengagement with the other of the stent or the elongate shaft, such asinserting a tab on one of the stent or the elongate shaft into anopening in the other of the stent or the elongate shaft.

Another illustrative embodiment is a drainage stent delivery systemincluding a drainage stent including a tubular member, an elongate shaftextending distally from a handle assembly to a location proximate thedrainage stent, and an elongate member extending axially through theelongate shaft. A distal portion of the elongate shaft includes a tabconfigured for selective engagement with the drainage stent which extendinto the lumen of the drainage stent. The elongate member is axiallymovable from a first position to a second position. In the secondposition the tab is deflected into engagement with the drainage stent bycontact with the elongate member and in the first position the tab isdisengaged from the drainage stent to allow the drainage stent to bereleased from the elongate shaft.

Another illustrative embodiment is a drainage stent delivery systemincluding an elongate shaft of a medical device, a drainage stentincluding a barb configured to retain the drainage stent at ananatomical location, and a coupling mechanism for selectively couplingthe stent to the elongate shaft. The coupling mechanism includes anengagement member for engaging with the barb of the drainage stent and apull wire extending proximally from the engagement member which isactuatable to effect disengagement of the engagement member from thebarb of the drainage stent.

Yet another illustrative embodiment is a method of selectivelydecoupling a stent from an elongate shaft of a medical device. The stentis coupled to a distal portion of an elongate shaft of a medical devicewith a coupling mechanism. The coupling mechanism includes a tab on oneof the stent or the elongate shaft inserted into an opening in the otherof the stent or the elongate shaft. The tab is moved from a secondposition in which the tab is engaged with the opening to a firstposition in which the tab is disengaged from the opening. The elongateshaft is then withdrawn proximally from the stent while the tab is inthe second position.

The above summary of some example embodiments is not intended todescribe each disclosed embodiment or every implementation of theinvention.

BRIEF DESCRIPTION OF THE DRAWINGS

The invention may be more completely understood in consideration of thefollowing detailed description of various embodiments in connection withthe accompanying drawings, in which:

FIG. 1 is a plan view of an exemplary drainage stent delivery system;

FIG. 2 is a longitudinal cross-sectional view of the drainage stentdelivery system of FIG. 1;

FIGS. 3A-3E illustrate the functionality of an exemplary lockingstructure for selectively coupling a stent to an elongate shaft of adelivery system;

FIGS. 4A and 4B are side views illustrating the functionality of anotherlocking structure for selectively coupling a stent to an elongate shaftof a delivery system;

FIGS. 5A and 5B are perspective views illustrating the distal end of anembodiment of an elongate member configured for selectively coupling toa stent for delivery;

FIGS. 5C and 5D are cross-sectional views illustrating the functionalityof the locking structure of FIGS. 5A and 5B for selectively coupling astent to an elongate shaft of a delivery system;

FIGS. 6A and 6B are side views illustrating the functionality of anotherlocking structure for selectively coupling a stent to an elongate shaftof a delivery system;

FIGS. 7A and 7B are side views illustrating the functionality of anotherlocking structure for selectively coupling a stent to an elongate shaftof a delivery system;

FIGS. 8A-8C illustrate the functionality of yet another lockingstructure for selectively coupling a stent to an elongate shaft of adelivery system; and

FIGS. 9A and 9B illustrate the functionality of yet another lockingstructure for selectively coupling a stent to an elongate shaft of adelivery system.

While the invention is amenable to various modifications and alternativeforms, specifics thereof have been shown by way of example in thedrawings and will be described in detail. It should be understood,however, that the intention is not to limit aspects of the invention tothe particular embodiments described. On the contrary, the intention isto cover all modifications, equivalents, and alternatives falling withinthe spirit and scope of the invention.

DETAILED DESCRIPTION

For the following defined terms, these definitions shall be applied,unless a different definition is given in the claims or elsewhere inthis specification.

All numeric values are herein assumed to be modified by the term“about”, whether or not explicitly indicated. The term “about” generallyrefers to a range of numbers that one of skill in the art would considerequivalent to the recited value (i.e., having the same function orresult). In many instances, the term “about” may be indicative asincluding numbers that are rounded to the nearest significant figure.

The recitation of numerical ranges by endpoints includes all numberswithin that range (e.g., 1 to 5 includes 1, 1.5, 2, 2.75, 3, 3.80, 4,and 5).

Although some suitable dimensions, ranges and/or values pertaining tovarious components, features and/or specifications are disclosed, one ofskill in the art, incited by the present disclosure, would understanddesired dimensions, ranges and/or values may deviate from thoseexpressly disclosed.

As used in this specification and the appended claims, the singularforms “a”, “an”, and “the” include plural referents unless the contentclearly dictates otherwise. As used in this specification and theappended claims, the term “or” is generally employed in its senseincluding “and/or” unless the content clearly dictates otherwise.

As used in this specification and the appended claims, the term“proximal” refers to a direction that is generally toward a physicianduring a medical procedure, while the term “distal” refers to adirection that is generally toward a target site within a patient'sanatomy during a medical procedure.

As used in this specification and the appended claims, the term “bodylumen” means any body passage cavity that conducts fluid, including butnot limited to biliary ducts, pancreatic ducts, ureteral passages,esophagus, and blood vessels such as those of the human vasculaturesystem.

The following detailed description should be read with reference to thedrawings in which similar elements in different drawings are numberedthe same. The detailed description and the drawings, which are notnecessarily to scale, depict illustrative embodiments and are notintended to limit the scope of the invention. The illustrativeembodiments depicted are intended only as exemplary. Selected featuresof any illustrative embodiment may be incorporated into an additionalembodiment unless clearly stated to the contrary.

Referring now to FIGS. 1 and 2, there is shown an exemplary medicaldevice, illustrated as a drainage stent delivery system 10 fordelivering a drainage catheter or stent 20 to an anatomical location,such as in a lumen of the biliary tree or a ureter. The drainage stent20 may be used to bypass or drain an obstructed lumen and can beconfigured for long-term positioning within the lumen. The drainagestent 20 may be an elongate tubular member which is generally notexpandable. The drainage stent 20 may have a proximal end 44, a distalend 46 and a lumen 48 extending through the drainage stent 20 from theproximal end 44 to the distal end 46. In some embodiments, the drainagestent 20 may include one or more, or a plurality of barbs 21, or otherretention features that may help prevent migration of the drainage stent20 when positioned in a body lumen. The illustrated drainage stent 20includes a proximal barb 21 a and a distal barb 21 b. It should beunderstood that the terms “drainage catheter” and “drainage stent” canbe used interchangeably with reference to these applications.

The drainage stent delivery system 10 is designed for use with aconventional guidewire 2 and may include a drainage stent 20, a guidecatheter 12, a push catheter 14, and a handle assembly 16. The guidewire2 may extend into a lumen 22 of the guide catheter 12 through a distalguidewire port 24 and out a proximal guidewire port 26 in a sidewall ofthe push catheter 14, providing the drainage stent delivery system 10with single-operator-exchange (SOE) capabilities.

The guide catheter 12 may be slidably disposed in the lumen 28 of thepush catheter 14 and extend distally from the distal end 30 of the pushcatheter 14. The guide catheter 12 may extend through the drainage stent20 to a location distal of the drainage stent 20. In some embodiments, adistal portion of the push catheter 14, or a component thereof, mayextend into the lumen of the drainage stent 20. In some instances, theproximal end of the drainage stent 20 may abut and/or face a distal endor rim 30 of the push catheter 14, or a component thereof, while adistal portion or component of the push catheter 14 extends into thelumen of the drainage stent 20. In other embodiments, the push catheter14, or a component thereof, may extend over the drainage stent 20,surrounding a portion of the drainage stent 20.

The drainage stent delivery system 10 may include a means for releasablyconnecting the drainage stent 20 to an elongate shaft of the drainagestent delivery system 10, such as the guide catheter 12 or the pushcatheter 14 of the drainage stent delivery system 10. When the drainagestent 20 has been properly placed, the drainage stent 20 may bedisconnected from the drainage stent delivery system 10 such that thedrainage stent 20 remains in the lumen when the guide catheter 12 and/orthe push catheter 14 are withdrawn. Some exemplary retention mechanismsfor selectively coupling the drainage stent 20 to an elongate shaft ofthe drainage stent delivery system 10 are further described herein. Theretention mechanisms may be used to selectively deploy, repositionand/or retrieve the drainage stent 20 during a medical procedure.

The proximal end 32 of the push catheter 14 may be attached to thehandle assembly 16. For example, the proximal end 32 may include afemale luer lock connector 34 threadably coupled to a threaded maleconnector 36 of the handle assembly 16. It is understood, however, thatthe push catheter 14 may be attached to the handle assembly 16 andextend distally therefrom by other means, such as adhesive bonding,welding, friction fit, interlocking fit, or other suitable means. Insome instances, a component of the push catheter 14 may belongitudinally (e.g., slidably and/or rotatably) actuatable relative toanother component of the push catheter 14. In such embodiments, thehandle assembly 16 may be configured such that the actuatable componentof the push catheter 14 may be actuated by medical personnel while thestationary component of the push catheter 14 remains stationary relativeto the handle assembly 16.

The guide catheter 12 may include a distal tubular portion 38 and aproximal elongate wire 40, such as a pull wire, coupled to the distaltubular portion 38. The elongate wire 40 may be coupled to the distaltubular portion 38 at a coupling location. The elongate wire 40 mayextend through the lumen 28 of the push catheter 14 to the handleassembly 16 while the distal tubular portion 38 extends through thedrainage stent 20 to a location distal of the drainage stent 20. In someembodiments, the elongate wire 40 may extend through the handle assembly16 to a location proximal of the handle assembly 16. The proximal end ofthe elongate wire 40 may terminate at a knob 42 which may be grasped byan operator to manipulate the guide catheter 12.

As shown in FIG. 2, the elongate wire 40 may share the lumen 28 of thepush catheter 14 with the guidewire 2 along a portion of the length ofthe elongate wire 40. Thus, a portion of the elongate wire 40 may extendproximally from the tubular portion 38 along the side of the guidewire 2through the lumen 28 of the push catheter 14 up to a location where theguidewire 2 exits the proximal guidewire port 26 of the push catheter14.

During a medical procedure, the drainage stent delivery system 10 may beadvanced to a target location in the anatomy of a patient. For instance,the drainage stent delivery system 10 may be advanced over the guidewire2 to a target location. In some instances, the drainage stent deliverysystem 10 may be tracked over the guidewire 2 as the drainage stentdelivery system 10 is advanced through a working channel of anendoscope. The guidewire 2 may pass through the lumen 22 of the guidecatheter 12 and the lumen 28 of the push catheter 14 and exit throughthe proximal guidewire port 26 of the push catheter 14.

When the drainage stent 20 has been positioned at the target location ina lumen, the operator may then selectively disengage the drainage stent20 from the drainage stent delivery system 10 and withdraw the drainagestent delivery system 10, or components thereof, proximally relative tothe drainage stent 20 to deploy the drainage stent 20 at the targetlocation. For instance, in some embodiments axial movement of anelongate shaft of the drainage stent delivery system 10 (e.g., the guidecatheter 12 and/or the push catheter 14) relative to the drainage stent20 may disengage or unlock the drainage stent 20 from the drainage stentdelivery system 10. Once the drainage stent 20 is disengaged from theguide catheter 12 and/or the push catheter 14, withdrawing the guidecatheter 12 and/or the push catheter 14 proximally may release thedrainage stent 20 from the drainage stent delivery system 10 in order todeploy the drainage stent 20 at the target location. Once the drainagestent 20 has been properly deployed at the target location, the drainagestent delivery system 10 may then be withdrawn. In some instances, thedrainage stent delivery system 10 may also be used to reposition and/orretrieve the drainage stent 20 during a medical procedure.

Some exemplary locking structures for selectively coupling the drainagestent 20 to a component, such as an elongate shaft, of the drainagestent delivery system 10 will now be further described.

FIGS. 3A-3E illustrate the functionality of a first exemplary lockingstructure for selectively coupling the drainage stent 20 to an elongateshaft of the drainage stent delivery system 10. Although the drainagestent 20 is illustrated as being selectively coupled to the pushcatheter 14 of the drainage stent delivery system 10, it is understoodthat in some embodiments the guide catheter 12 may be so configured suchthat the drainage stent 20 may be selectively coupled to the guidecatheter 12, or another elongate shaft, in the manner described withregard to FIGS. 3A-3E.

FIG. 3A shows one possible configuration of the distal end region of thepush catheter 14, including a coupling member configured for engagementwith the drainage stent 20 to selectively couple the drainage stent 20to the push catheter 14. The push catheter 14 may include a tab 50extending distally from the distal end 30 of the elongate tubular memberof the push catheter 14. The tab 50 may be attached and/or extend fromthe tubular wall of the push catheter 14. In some instances, the tab 50may be a flap 56 hingedly coupled to the tubular wall of the pushcatheter 14 by a living hinge 52 between the tubular wall and the flap56, or otherwise deflectable. The tab 50 may include a protuberance 54or other engagement feature extending from the surface of the tab 50configured to mate with an opening or other engagement feature of thedrainage stent 20. In some instances, the engagement feature may be acompliant and/or non-lubricious material, such as a silicone member,secured to the flap 56 of the tab 50, or the entire tab 50 or portionsthereof may be formed of a compliant and/or non-lubricious material,such as silicone or polymeric foam, forming a silicone or foam flap 56configured to frictionally engage the drainage stent 20. Additionally oralternatively, the flap 56 and/or protuberance 54 of the tab 50 and/orother portion of the tab 50 may include a surface treatment, adhesive ortacky coating or other coating, and/or surface features to furtherenhance engagement with the drainage stent 20.

Although a single tab 50 is illustrated, in some embodiments the pushcatheter 14 may include a plurality of tabs 50 similarly arranged at thedistal end 30 of the elongate tubular member of the push catheter 14which collectively act to selectively engage the drainage stent 20 in asimilar manner as described herein.

The tab 50 may be configured to move between a first position and asecond position. For example, the tab 50 may be configured such that theprotuberance 54 is disengaged from the drainage stent 20 when at thefirst position and engaged with the drainage stent 20 when at the secondposition. FIG. 3B shows the position of the tab 50 at the first position(solid lines), as well as the position of the tab 50 when at the secondposition (in phantom lines). As shown in FIG. 3B, the distal end of thetab 50, and thus the protuberance 54, moves toward the centrallongitudinal axis of the push catheter 14 when the tab 50 is moved fromthe second position to the first position, or conversely, the distal endof the tab 50, and thus the protuberance 54, moves away from the centrallongitudinal axis of the push catheter 14 when the tab 50 is moved fromthe first position to the second position. As shown in FIG. 3B, in someinstances the tab 50 may intersect the central longitudinal axis of thepush catheter 14 when at the first position and the tab 50 may begenerally parallel to the central longitudinal axis of the push catheter14 when at the second position.

In some instances, the first position may be an equilibrium position ofthe tab 50. In other words, the tab 50 may be biased toward the firstposition, thus when an applied force is removed from the tab 50, the tab50 may automatically revert back to the equilibrium first position. Thetab 50 may be deflected toward the second position by applying a forceto the tab 50. Thus, when not subjected to an applied force, the tab 50may be at the first position in which the tab 50 is disengaged from thedrainage stent 20.

As shown in FIG. 3C, in some instances the tab 50 may be urged to thesecond position from the first position with the guide catheter 12. Forexample, the guide catheter 12 may be positioned in the lumen 28 of thepush catheter 14 with a distal portion of the guide catheter 12extending distal of the distal end 30 of the push catheter 14. The guidecatheter 12 contacts the tab 50, pushing the tab 50 away from thecentral longitudinal axis of the push catheter 14 to allow the guidecatheter 12 to extend distally of the tab 50. Thus, the guide catheter12 may apply a force onto the tab 50 to move the tab 50 to the secondposition from the first position.

FIGS. 3D and 3E show the drainage stent 20 selectively coupled to anddecoupled from the push catheter 14, respectively, by means of the tab50. As shown in FIG. 3D, the drainage stent 20 may be positionedproximate the distal end 30 of the push catheter 14 with the tab 50extending into the lumen 48 of the drainage stent 20. With the drainagestent 20 coupled to the push catheter 14, the proximal end 44 of thedrainage stent 20 may face or abut the distal end 30 of the pushcatheter 14. In other embodiments, however, the proximal end 44 of thedrainage stent 20 may overlap with the distal end 30 of the pushcatheter 14. The drainage stent 20 may be selectively coupled to thepush catheter 14 by advancing the guide catheter 12 distally into and/orthrough the lumen 48 of the drainage stent 20 such that the guidecatheter 12 urges or deflects the tab 50 away from the centrallongitudinal axis of the push catheter 14 into engagement with thedrainage stent 20. When the tab 50 is urged to the second position theprotuberance 54 extending from the flap 56 of the tab 50 may be insertedinto an opening 60 extending into and/or through the sidewall of thedrainage stent 20, coupling the drainage stent 20 to the push catheter14. The presence of the guide catheter 12 in the lumen 48 of thedrainage stent 20 may prevent the tab 50 from moving back to the firstposition, and thus may preclude the protuberance 54 from being removedfrom the opening 60 in the drainage stent 20. It is noted that in someembodiments, the opening 60 and the protuberance 54 may be reversed,such that the tab 50 may include an opening and the drainage stent 20may include a protuberance which may be selectively positioned in theopening of the tab 50 in a similar manner.

The drainage stent 20 may be decoupled from the push catheter 14 bywithdrawing the guide catheter 12 proximally from the lumen 48 of thedrainage stent 20, as shown in FIG. 3E. As the guide catheter 12 iswithdrawn proximally relative to the drainage stent 20, the guidecatheter 12 may be moved out of engagement with the tab 50, allowing thetab 50 to revert to the first position, while the proximal end 44 of thedrainage stent 20 abuts the distal end 30 of the push catheter 14,holding the drainage stent 20 stationary relative to the push catheter14. For instance, the guide catheter 12 may be withdrawn proximally suchthat the distal end of the guide catheter 12 is proximal of the distalend 30 of the push catheter 14, at which point the tab 50 is no longerconstrained by the guide catheter 12 and may automatically move back toits equilibrium first position. As the distal end of the tab 50, andthus the protuberance 54, moves toward the central longitudinal axis ofthe push catheter 14, the protuberance 54 is removed from the opening 60in the drainage stent 20, decoupling the drainage stent 20 from the pushcatheter 14. Once the drainage stent 20 is decoupled from the pushcatheter 14, the push catheter 14 and/or the guide catheter 12 may bewithdrawn from the patient, leaving the drainage stent 20 at the desiredlocation in the lumen.

FIGS. 4A and 4B illustrate another exemplary embodiment of the distalend region of the push catheter 14, including a coupling memberconfigured for engagement with the drainage stent 20 to selectivelycouple the drainage stent 20 to the push catheter 14. Although thedrainage stent 20 is illustrated as being selectively coupled to thepush catheter 14 of the drainage stent delivery system 10, it isunderstood that in some embodiments the guide catheter 12 may be soconfigured such that the drainage stent 20 may be selectively coupled tothe guide catheter 12, or another elongate shaft, in the mannerdescribed with regard to FIGS. 4A and 4B.

The push catheter 14 may include a tab 150 extending distally from thedistal end 30 of the elongate tubular member of the push catheter 14.The tab 150 may be attached and/or extend from the tubular wall of thepush catheter 14. In some instances, the tab 150 may be deflectable whena force is applied to the tab 150. The tab 150 may include a curved tip154 or other engagement feature configured to mate with an opening orother engagement feature of the drainage stent 20. The curved tip 154may curve radially outward away from the central longitudinal axis ofthe push catheter 14. It is noted that in some embodiments the tab 150need not have a curved tip 154, but rather may be configured tointerlock with or frictionally engage a portion of the drainage stent20. For example, the tab 150 may form an interference fit with a holeformed in the drainage stent 20, or the tab 150 may be formed of acompliant material such that when the tab 150, which may be sizedslightly larger than the hole, is inserted into the hole in the drainagestent 20 the tab 150 fills the hole. In some instances, the tab 150 maybe notched or barbed to interlock with a feature of the drainage stent20.

Although a single tab 150 is illustrated, in some embodiments the pushcatheter 14 may include a plurality of tabs 150 similarly arranged atthe distal end 30 of the elongate tubular member of the push catheter 14which collectively act to selectively engage the drainage stent 20 in asimilar manner as described herein.

The tab 150 may be configured to move between a first position and asecond position. For example, the tab 150 may be configured such thatthe curved tip 154 is disengaged from the drainage stent 20 when at thefirst position and engaged with the drainage stent 20 when at the secondposition. FIG. 4A shows the position of the tab 150 at the firstposition, while FIG. 4B shows the position of the tab 150 at the secondposition. As can be understood from FIGS. 4A and 4B, the distal end ofthe tab 150, and thus the curved tip 154, moves toward the centrallongitudinal axis of the push catheter 14 when the tab 150 is moved fromthe second position to the first position, or conversely, the distal endof the tab 150, and thus the curved tip 154, moves away from the centrallongitudinal axis of the push catheter 14 when the tab 150 is moved fromthe first position to the second position.

In some instances, the first position may be an equilibrium position ofthe tab 150. In other words, the tab 150 may be biased toward the firstposition, thus when an applied force is removed from the tab 150, thetab 150 may automatically revert back to the equilibrium first position.The tab 150 may be deflected toward the second position by applying aforce to the tab 150. Thus, when not subjected to an applied force, thetab 150 may be at the first position in which the tab 150 is disengagedfrom the drainage stent 20.

Similar to the configuration discussed above, in some instances the tab150 may be urged to the second position from the first position with theguide catheter 12. For example, the guide catheter 12 may be positionedin the lumen 28 of the push catheter 14 with a distal portion of theguide catheter 12 extending distal of the distal end 30 of the pushcatheter 14. The guide catheter 12 contacts the tab 150, pushing the tab150 away from the central longitudinal axis of the push catheter 14 toallow the guide catheter 12 to extend distally of the tab 150. Thus, theguide catheter 12 may apply a force onto the tab 150 to move the tab 150to the second position from the first position.

FIGS. 4A and 4B show the drainage stent 20 selectively coupled to anddecoupled from the push catheter 14, respectively, by means of the tab150. As shown in FIG. 4A, the drainage stent 20 may be positionedproximate the distal end 30 of the push catheter 14 with the tab 150extending into the lumen 48 of the drainage stent 20. With the drainagestent 20 coupled to the push catheter 14, the proximal end 44 of thedrainage stent 20 may face or abut the distal end 30 of the pushcatheter 14. In other embodiments, however, the proximal end 44 of thedrainage stent 20 may overlap with the distal end 30 of the pushcatheter 14. The drainage stent 20 may be selectively coupled to thepush catheter 14 by advancing the guide catheter 12 distally into and/orthrough the lumen 48 of the drainage stent 20 such that the guidecatheter 12 urges or deflects the tab 150 away from the centrallongitudinal axis of the push catheter 14 into engagement with thedrainage stent 20. When the tab 150 is urged to the second position thecurved tip 154 of the tab 150 may be inserted into an opening 70 in thesidewall of the drainage stent 20 formed consequent the barb 21 a beingcut from the tubular wall of the drainage stent 20, coupling thedrainage stent 20 to the push catheter 14. The presence of the guidecatheter 12 in the lumen 48 of the drainage stent 20 may prevent the tab150 from moving back to the first position, and thus may preclude thecurved tip 154 from being removed from the opening 70 in the drainagestent 20. It is noted that in some embodiments, the drainage stent 20may include an opening distinct from the opening 70 into which thecurved tip 154 of the tab 150 may extend into to couple the drainagestent 20 to the push catheter 14.

The drainage stent 20 may be decoupled from the push catheter 14 bywithdrawing the guide catheter 12 proximally from the lumen 48 of thedrainage stent 20, as shown in FIG. 4B. As the guide catheter 12 iswithdrawn proximally relative to the drainage stent 20, the guidecatheter 12 may be moved out of engagement with the tab 150, allowingthe tab 150 to revert to the first position, while holding the drainagestent 20 stationary relative to the push catheter 14. For instance, theguide catheter 12 may be withdrawn proximally such that the distal endof the guide catheter 12 is proximal of the distal end 30 of the pushcatheter 14, at which point the tab 150 is no longer constrained by theguide catheter 12 and may automatically move back to its equilibriumfirst position. As the distal end of the tab 150, and thus the curvedtip 154, moves toward the central longitudinal axis of the push catheter14, the curved tip 154 is removed from the opening 70 in the drainagestent 20, decoupling the drainage stent 20 from the push catheter 14.Once the drainage stent 20 is decoupled from the push catheter 14, thepush catheter 14 and/or the guide catheter 12 may be withdrawn from thepatient, leaving the drainage stent 20 at the desired location in thelumen.

FIGS. 5A and 5B illustrate another exemplary embodiment of the distalend region of the push catheter 14, including a coupling memberconfigured for engagement with the drainage stent 20 to selectivelycouple the drainage stent 20 to the push catheter 14 as shown in FIGS.5C and 5D. Although the drainage stent 20 is illustrated as beingselectively coupled to the push catheter 14 of the drainage stentdelivery system 10, it is understood that in some embodiments the guidecatheter 12 may be so configured such that the drainage stent 20 may beselectively coupled to the guide catheter 12, or another elongate shaft,in the manner described with regard to FIGS. 5C and 5D.

The push catheter 14 may include a plurality of tabs 250 radiallyarranged and extending distally from the distal end 30 of the elongatetubular member of the push catheter 14. The tabs 250 may besymmetrically or asymmetrically arranged around the circumference of theelongate tubular member of the push catheter 14, for example. The tabs250 may be attached and/or extend from the tubular wall of the pushcatheter 14. In some instances, the tabs 250 may be deflectable when aforce is applied to the tabs 250.

The tabs 250 may be configured to move between a first position and asecond position. For example, the tabs 250 may be configured such thatthe tabs 250 are disengaged from the drainage stent 20 when at the firstposition and engaged with the drainage stent 20 when at the secondposition. FIG. 5A shows the position of the tabs 250 at the firstposition, while FIG. 5B shows the position of the tabs 250 at the secondposition with the guide catheter 12 deflecting the tabs 250 radiallyoutward. In the first position, the tabs 250 may taper in a distaldirection toward the central longitudinal axis of the push catheter 14,thus forming a distally tapered tip on the push catheter 14 formed of aplurality of tabs 250 radially arranged. As can be understood from FIGS.5A and 5B, the distal ends of the tabs 250 move toward the centrallongitudinal axis of the push catheter 14 when the tabs 250 are movedfrom the second position to the first position, or conversely, thedistal ends of the tabs 250 move away from the central longitudinal axisof the push catheter 14 when the tabs 250 are moved from the firstposition to the second position.

In some instances, the first position may be an equilibrium position ofthe tabs 250. In other words, the tabs 250 may be biased toward thefirst position, thus when an applied force is removed from the tabs 250,the tabs 250 may automatically revert back to the equilibrium firstposition. The tabs 250 may be deflected toward the second position byapplying a force to the tabs 250. Thus, when not subjected to an appliedforce, the tabs 250 may be at the first position in which the tabs 250are disengaged from the drainage stent 20.

Similar to the configuration discussed above, in some instances the tabs250 may be urged to the second position from the first position with theguide catheter 12. For example, the guide catheter 12 may be positionedin the lumen 28 of the push catheter 14 with a distal portion of theguide catheter 12 extending distal of the distal end 30 of the pushcatheter 14. The guide catheter 12 contacts the tabs 250, pushing thetabs 250 away from the central longitudinal axis of the push catheter 14to allow the guide catheter 12 to extend distally of the tabs 250. Thus,the guide catheter 12 may apply a force onto the tabs 250 to move thetabs 250 to the second position from the first position.

FIGS. 5C and 5D show the drainage stent 20 selectively coupled to anddecoupled from the push catheter 14, respectively, by means of the tabs250. As shown in FIG. 5C, the drainage stent 20 may be positionedproximate the distal end 30 of the push catheter 14 with the tabs 250extending into the lumen 48 of the drainage stent 20. The drainage stent20 may be selectively coupled to the push catheter 14 by advancing theguide catheter 12 distally into and/or through the lumen 48 of thedrainage stent 20 such that the guide catheter 12 urges or deflects thetabs 250 away from the central longitudinal axis of the push catheter 14into engagement with the drainage stent 20. When the tabs 250 are urgedto the second position the tabs 250 may frictionally engage an innersurface of the drainage stent 20 and/or interlock with a feature of thedrainage stent 20, coupling the drainage stent 20 to the push catheter14. The presence of the guide catheter 12 in the lumen 48 of thedrainage stent 20 may prevent the tabs 250 from moving back to the firstposition, and thus may maintain the tabs 250 in engagement with thedrainage stent 20. It is noted that in some embodiments, the drainagestent 20 may include one or more openings or grooves into which the tabs250 are engaged with.

The drainage stent 20 may be decoupled from the push catheter 14 bywithdrawing the guide catheter 12 proximally from the lumen 48 of thedrainage stent 20, as shown in FIG. 5D. As the guide catheter 12 iswithdrawn proximally relative to the drainage stent 20, the guidecatheter 12 may be moved out of engagement with the tabs 250, allowingthe tabs 250 to revert to the first position, while holding the drainagestent 20 stationary relative to the push catheter 14. For instance, theguide catheter 12 may be withdrawn proximally such that the distal endof the guide catheter 12 is proximal of the distal end 30 of the pushcatheter 14, at which point the tabs 250 are no longer constrained bythe guide catheter 12 and may automatically move back to theirequilibrium first position. As the distal ends of the tabs 250 movetoward the central longitudinal axis of the push catheter 14, the tabs250 are disengaged from the drainage stent 20, decoupling the drainagestent 20 from the push catheter 14. Once the drainage stent 20 isdecoupled from the push catheter 14, the push catheter 14 and/or theguide catheter 12 may be withdrawn from the patient, leaving thedrainage stent 20 at the desired location in the lumen.

FIGS. 6A and 6B illustrate another exemplary embodiment of the drainagestent 20 selectively coupled with the guide catheter 12. Although thedrainage stent 20 is illustrated as being selectively coupled to theguide catheter 12 of the drainage stent delivery system 10, it isunderstood that in some embodiments the push catheter 14 may be soconfigured such that the drainage stent 20 may be selectively coupled tothe push catheter 14, or another elongate shaft, in the manner describedwith regard to FIGS. 6A and 6B.

The drainage stent 20 may include a tab 350 extending radially inwardfrom the tubular wall of the drainage stent 20 into the lumen 48 of thedrainage stent 20. The tab 350 may be cut from the tubular wall of thedrainage stent 20, thus forming a unitary structure with the tubularwall of the drainage stent 20. In some instances, the tab 350 may bedeflectable when a force is applied to the tab 350. The tab 350 may beconfigured to mate with an opening or other engagement feature of theguide catheter 12.

Although a single tab 350 is illustrated, in some embodiments thedrainage stent 20 may include a plurality of tabs 350 similarly arrangedaround the circumference of the drainage stent 20 which collectively actto selectively engage the guide catheter 12 in a similar manner asdescribed herein.

The tab 350 may be configured to move between a first position and asecond position. For example, the tab 350 may be configured such thatthe tab 350 is engaged with the guide catheter 12 when at the firstposition and disengaged from the guide catheter 12 when at the secondposition. FIG. 6A shows the position of the tab 350 at the firstposition, while FIG. 6B shows the position of the tab 350 at the secondposition. As can be understood from FIGS. 6A and 6B, the free end of thetab 350 moves toward the central longitudinal axis of the guide catheter12 when the tab 350 moves from the second position to the firstposition, or conversely, the free end of the tab 350 moves away from thecentral longitudinal axis of the guide catheter 12 when the tab 350moves from the first position to the second position.

In some instances, the first position may be an equilibrium position ofthe tab 350. In other words, the tab 350 may be biased toward the firstposition, thus when an applied force is removed from the tab 350, thetab 350 may automatically revert back to the equilibrium first position.The tab 350 may be deflected toward the second position by applying aforce to the tab 350. Thus, when not subjected to an applied force, thetab 350 may move back toward the first position.

The guide catheter 12 may include an engagement feature, such as anopening 360 formed in the guide catheter 12. The opening 360 may be agroove, channel, blind hole, through hole, or other feature configuredto receive and engage with the tab 350. The opening 360 may be formed inor through the tubular member of the guide catheter 12. The tab 350 maybe positioned in the opening 360 to lock the drainage stent 20 to theguide catheter 12.

In some instances the tab 350 may be urged to the second position fromthe first position through movement of the guide catheter 12 whileholding the drainage stent 20 stationary relative to the push catheter14. For example, the guide catheter 12 may be positioned in the lumen 28of the push catheter 14 with a distal portion of the guide catheter 12extending distal of the distal end 30 of the push catheter 14 and intoor through the lumen 48 of the drainage stent 20. The guide catheter 12may contact the tab 350, pushing the tab 350 away from the centrallongitudinal axis of the guide catheter 12 to allow the guide catheter12 to extend distally of the tab 350. Thus, the guide catheter 12 mayapply a force onto the tab 350 to move the tab 350 to the secondposition from the first position. As the guide catheter 12 is movedfurther distally relative to the drainage stent 20, the tab 350 maybecome aligned with the opening 360 and thus engage with the opening 360as the tab 350 moves toward the first position.

FIGS. 6A and 6B show the drainage stent 20 selectively coupled to anddecoupled from the guide catheter 12, respectively, by means ofengagement of the tab 350 with the opening 360. As shown in FIG. 6A, thedrainage stent 20 may be positioned proximate the distal end 30 of thepush catheter 14 with the tab 350 extending into the opening 360. Withthe drainage stent 20 coupled to the guide catheter 12, the proximal end44 of the drainage stent 20 may face or abut the distal end 30 of thepush catheter 14. In other embodiments, however, the proximal end 44 ofthe drainage stent 20 may overlap with the distal end 30 of the pushcatheter 14. The drainage stent 20 may be selectively coupled to theguide catheter 12 by advancing the guide catheter 12 distally intoand/or through the lumen 48 of the drainage stent 20 until the tab 350extends into the opening 360 of the guide catheter 12.

The drainage stent 20 may be decoupled from the guide catheter 12 bymovement of the guide catheter 12 relative to the drainage stent 20. Forexample, rotational and/or longitudinal movement of the guide catheter12 may disengage the tab 350 from the opening 360. For instance, in someinstances the guide catheter 12 may be rotated to deflect the tab 350 tothe second position and thus remove the tab 350 from the opening 360. Inother instances, the guide catheter 12 may be moved longitudinally(e.g., proximally and/or distally) relative to the drainage stent 20 todeflect the tab 350 to the second position and thus remove the tab 350from the opening 360. In some instances, the guide catheter 12 mayinitially be moved distally relative to the drainage stent 20 until thetab 350 is deflected out of engagement with the opening 360. The guidecatheter 12 may then be rotated to move the opening 360 away from thetab 350. Thus, when the guide catheter 12 is subsequently withdrawnproximally, the tab 350 will not re-engage with the opening 360. Withthe tab 350 disengaged from the opening 360, the guide catheter 12 maybe withdrawn proximally such that the distal end of the guide catheter12 is proximal of the distal end 30 of the push catheter 14, at whichpoint the drainage stent 20 is decoupled from the guide catheter 12.Once the drainage stent 20 is decoupled from the guide catheter 12, thepush catheter 14 and/or the guide catheter 12 may be withdrawn from thepatient, leaving the drainage stent 20 at the desired location in thelumen.

FIGS. 7A and 7B illustrate another exemplary embodiment of the drainagestent 20 selectively coupled with the guide catheter 12. Although thedrainage stent 20 is illustrated as being selectively coupled to theguide catheter 12 of the drainage stent delivery system 10, it isunderstood that in some embodiments the push catheter 14 may be soconfigured such that the drainage stent 20 may be selectively coupled tothe push catheter 14, or another elongate shaft, in the manner describedwith regard to FIGS. 7A and 7B.

Similar to the embodiment described above, the drainage stent 20 may beselectively coupled to the guide catheter 12 through engagement of a tab450 with an opening 460. However, in this embodiment, the guide catheter12 may include the tab 450 and the drainage stent 20 may include theopening 460 into which the tab 450 extends. The tab 450 may extendradially outward from the tubular wall of the guide catheter 12. In someinstances, the tab 450 may be cut from the tubular wall of the guidecatheter 12, thus forming a unitary structure with the tubular wall ofthe guide catheter 12. In some instances, the tab 450 may be deflectablewhen a force is applied to the tab 450. The tab 450 may be configured tomate with an opening or other engagement feature of the drainage stent20.

Although a single tab 450 is illustrated, in some embodiments the guidecatheter 12 may include a plurality of tabs 450 similarly arrangedaround the elongate tubular member of the guide catheter 12 whichcollectively act to selectively engage the drainage stent 20 in asimilar manner as described herein.

The tab 450 may be configured to move between a first position and asecond position. For example, the tab 450 may be configured such thatthe tab 450 is engaged with the opening 460 of the drainage stent 20when at the first position and disengaged from the opening 460 of thedrainage stent 20 when at the second position. FIG. 7A shows theposition of the tab 450 at the first position, while FIG. 7B shows theposition of the tab 450 at the second position. As can be understoodfrom FIGS. 7A and 7B, the free end of the tab 450 moves away the centrallongitudinal axis of the guide catheter 12 when the tab 450 moves fromthe second position to the first position, or conversely, the free endof the tab 450 moves toward from the central longitudinal axis of theguide catheter 12 when the tab 450 moves from the first position to thesecond position.

In some instances, the first position may be an equilibrium position ofthe tab 450. In other words, the tab 450 may be biased toward the firstposition, thus when an applied force is removed from the tab 450, thetab 450 may automatically revert back to the equilibrium first position.The tab 450 may be deflected toward the second position by applying aforce to the tab 450. Thus, when not subjected to an applied force, thetab 450 may move back toward the first position.

The drainage stent 20 may include an engagement feature, such as anopening 460 formed in the drainage stent 20. The opening 460 may be agroove, channel, blind hole, through hole, or other feature configuredto receive and engage with the tab 450. The opening 460 may be formed inor through the tubular member of the drainage stent 20. In someinstances the opening 460 may be formed in the sidewall of the drainagestent 20 consequent the barb 21 a being cut from the tubular wall of thedrainage stent 20. The tab 450 may be positioned in the opening 460 tolock the drainage stent 20 to the guide catheter 12.

In some instances the tab 450 may be urged to the second position fromthe first position through movement of the guide catheter 12. Forexample, the guide catheter 12 may be positioned in the lumen 28 of thepush catheter 14 with a distal portion of the guide catheter 12extending distal of the distal end 30 of the push catheter 14 and intoor through the lumen 48 of the drainage stent 20. The drainage stent 20may contact the tab 450, pushing the tab 450 toward the centrallongitudinal axis of the guide catheter 12 to allow the guide catheter12 to extend distally into the lumen 48 of the drainage stent 20. Thus,the drainage stent 20 may apply a force onto the tab 450 to move the tab450 to the second position from the first position. As the guidecatheter 12 is moved further distally relative to the drainage stent 20,the tab 450 may become aligned with the opening 460 and thus engage withthe opening 460 as the tab 450 moves toward the first position.

FIGS. 7A and 7B show the drainage stent 20 selectively coupled to anddecoupled from the guide catheter 12, respectively, by means ofengagement of the tab 450 with the opening 460. As shown in FIG. 7A, thedrainage stent 20 may be positioned proximate the distal end 30 of thepush catheter 14 with the tab 450 extending into the opening 460. Withthe drainage stent 20 coupled to the guide catheter 12, the proximal end44 of the drainage stent 20 may face or abut the distal end 30 of thepush catheter 14. In other embodiments, however, the proximal end 44 ofthe drainage stent 20 may overlap with the distal end 30 of the pushcatheter 14. The drainage stent 20 may be selectively coupled to theguide catheter 12 by advancing the guide catheter 12 distally intoand/or through the lumen 48 of the drainage stent 20 until the tab 450extends into the opening 460 of the drainage stent 20.

The drainage stent 20 may be decoupled from the guide catheter 12 bymovement of the guide catheter 12 relative to the drainage stent 20while holding the drainage stent 20 stationary relative to the pushcatheter 14. For example, rotational and/or longitudinal movement of theguide catheter 12 may disengage the tab 450 from the opening 460. Forinstance, in some instances the guide catheter 12 may be rotated todeflect the tab 450 to the second position and thus remove the tab 450from the opening 460. In other instances, the guide catheter 12 may bemoved longitudinally (e.g., proximally and/or distally) relative to thedrainage stent 20 to deflect the tab 450 to the second position and thusremove the tab 450 from the opening 460. In some instances, the guidecatheter 12 may initially be moved distally relative to the drainagestent 20 until the tab 450 is deflected out of engagement with theopening 460. The guide catheter 12 may then be rotated to move the tab450 away from the opening 460. Thus, when the guide catheter 12 issubsequently withdrawn proximally, the tab 450 will not re-engage withthe opening 460. With the tab 450 disengaged from the opening 460, theguide catheter 12 may be withdrawn proximally such that the distal endof the guide catheter 12 is proximal of the distal end 30 of the pushcatheter 14, at which point the drainage stent 20 is decoupled from theguide catheter 12. Once the drainage stent 20 is decoupled from theguide catheter 12, the push catheter 14 and/or the guide catheter 12 maybe withdrawn from the patient, leaving the drainage stent 20 at thedesired location in the lumen.

FIGS. 8A-8C illustrate yet another exemplary embodiment of selectivelycoupling the drainage stent 20 to the drainage stent delivery system 10.As shown in FIG. 8A, a distal portion of the push catheter 14 may extenddistally over a proximal portion of the drainage stent 20 such that thedistal end 30 of the push catheter 14 is distal of the proximal end 44of the drainage stent 20. The push catheter 14 may extend sufficientlydistally such that at least the proximal portion of the drainage stent20 including the proximal barb 21 a of the drainage stent 20 is disposedwithin the lumen 28 of the push catheter 14.

The drainage stent delivery system 10 may include a coupling mechanism500 for selectively coupling the drainage stent 20 to the drainage stentdelivery system 10. The coupling mechanism 500 may include an engagementmember 550, such as a hook or tab, for engaging with the barb 21 a ofthe drainage stent 20. The coupling mechanism 500 may also include apull wire 560, or other actuatable feature, extending proximally fromthe engagement member 550 which an operator may manipulate toselectively disengage the engagement member 550 from the barb 21 a. Insome embodiments, the pull wire 560, or an extension thereof, may extendproximally to the handle assembly 16, and thus be accessible to themedical personnel external of a patient during a medical procedure toeffect actuation of the pull wire 560 and thus disengagement of theengagement member 550 from the barb 21 a of the drainage stent 20.

As shown in FIGS. 8A and 8B, in a first position in which the drainagestent 20 is coupled to the push catheter 14, the engagement member 550(shown as a hook or tab) is positioned across the barb 21 a, between theflap of the barb 21 a and the tubular portion of the drainage stent 20.The proximal barb 21 a, may extend distally from a base 23 of the barb21 a connected to the tubular portion of the drainage stent 20 to adistal free tip 25 of the barb 21 a. Thus, the base 23 of the barb 21 a,where the barb 21 a is connected to the tubular portion of the drainagestent 20, is located proximal of the engagement member 550, with theengagement member 550 positioned radially inward of the flap of the barb21 a.

In order to decouple the drainage stent 20 from the push catheter 14,the pull wire 560 may be withdrawn proximally relative to the drainagestent 20, as shown in FIG. 8C. As the pull wire 560 is pulledproximally, the engagement member 550 may deflect (e.g., straighten orbend toward the longitudinal axis of the pull wire 560) from the firstposition to a second position, shown in FIG. 8C, to disengage from thebarb 21 a of the drainage stent 20. Once the engagement member 550 isdisengaged from the barb 21 a, the push catheter 14 may be withdrawnfrom the patient, leaving the drainage stent 20 at the desired locationin the lumen.

In some instances, the first position may be an equilibrium position ofthe engagement member 550 (e.g., hook, tab). In other words, theengagement member 550 may be biased toward the first position, thus whenan applied force is removed from the engagement member 550, theengagement member 550 may automatically revert back to the equilibriumfirst position. The engagement member 550 may be deflected toward thesecond position by applying a force to the engagement member 550, suchas the force applied to the engagement member 550 by the barb 21 a, asthe pull wire 560 is withdrawn proximally. When not subjected to anapplied force, the engagement member 550 may move back toward the firstposition.

FIGS. 9A and 9B illustrate another exemplary embodiment of the distalend region of the guide catheter 12, including a coupling memberconfigured for engagement with the drainage stent 20 to selectivelycouple the drainage stent 20 to the guide catheter 12. Although thedrainage stent 20 is illustrated as being selectively coupled to theguide catheter 12 of the drainage stent delivery system 10, it isunderstood that in some embodiments the push catheter 14 may be soconfigured such that the drainage stent 20 may be selectively coupled tothe push catheter 14, or another elongate shaft, in the manner describedwith regard to FIGS. 9A and 9B.

The guide catheter 12 may include one or more or a plurality ofextensions 650 (e.g., fingers or whiskers) extending from the guidecatheter 12. The extensions 650 may be attached and/or extend from thetubular wall of the guide catheter 12. In some instances, the extensions650 may be formed of a compliant and/or elastomeric material such thatthe extensions 650 may be elongatable, stretchable, distensible, and/ordeflectable when a force is applied to the extensions 650.

The extensions 650 may be configured to engage with an opening 660 orother engagement feature of the drainage stent 20 in order to interlockwith and/or frictionally engage a portion of the drainage stent 20. Forexample, the extensions 650 may form an interference fit with a holeformed in the drainage stent 20, or the extensions 650 may be formed ofa compliant material such that when the extensions 650, which may besized slightly larger than the opening 660, are inserted into theopenings 660 in the drainage stent 20 the extensions 650 fill theopenings 660 and/or are compressed in the openings 660, forming aninterference fit. In some instances, the extensions 650 may be notchedor barbed to interlock with an edge of the openings 660 of the drainagestent 20.

FIGS. 9A and 9B show the drainage stent 20 selectively coupled to anddecoupled from the guide catheter 12, respectively, by means of theextensions 650. As shown in FIG. 9A, the drainage stent 20 may bepositioned proximate the distal end 30 of the push catheter 14 with theextensions 650 extending through the openings 660 of the drainage stent20. With the drainage stent 20 coupled to the guide catheter 12, theproximal end 44 of the drainage stent 20 may face or abut the distal end30 of the push catheter 14. In other embodiments, however, the proximalend 44 of the drainage stent 20 may overlap with the distal end 30 ofthe push catheter 14.

The drainage stent 20 may be decoupled from the guide catheter 12 bywithdrawing the guide catheter 12 proximally from the lumen 48 of thedrainage stent 20, as shown in FIG. 9B while the push catheter 14,abutting the proximal end 44 of the drainage stent 20, prevents thedrainage stent 20 from moving. As the guide catheter 12 is withdrawnproximally relative to the drainage stent 20, extensions 650 may beelongated, stretched, distended, and/or deflected to release theextensions 650 from the openings 660. For instance, the guide catheter12 may be withdrawn proximally such that the extensions 650 arestretched sufficiently, and thus decreased in cross-sectionsufficiently, to be removed from the openings 660. Once the drainagestent 20 is decoupled from the guide catheter 12, the push catheter 14and/or the guide catheter 12 may be withdrawn from the patient, leavingthe drainage stent 20 at the desired location in the lumen.

It is noted that any of the tabs or other engagement features describedherein may be enhanced by coatings, surface treatments (e.g., ribs,grooves, knurling, teeth, corrugations etc.), tackiness, or othermodifications which may enhance the frictional engagement and/orinterlocking engagement between the drainage stent 20 and the guidecatheter 12 and/or push catheter 14.

Although the disclosed engagement features (e.g., tabs) have beendescribed as being included with a select component (e.g., drainagestent 20, guide catheter 12, and/or push catheter 14), it is noted thatthe engagement features (e.g., tabs) may be alternatively arranged onanother component of the drainage stent delivery system 10 in a similarfashion, if desired, to selectively couple the drainage stent 20 to anelongate shaft of the drainage stent delivery system 10.

Although several illustrated embodiments of the disclosed stent lockingstructures are illustrated as being incorporated into a delivery systemfor delivering a drainage stent, it is understood that the stent lockingstructures may also be used to selectively lock other stent orendoprosthesis devices to a delivery system. For example, in someinstances the stent locking structures described herein may be used toselectively lock a vascular stent to an elongate member of a deliverysystem for delivering the vascular stent to a target location within thevasculature of a patient.

Those skilled in the art will recognize that the present invention maybe manifested in a variety of forms other than the specific embodimentsdescribed and contemplated herein. Accordingly, departure in form anddetail may be made without departing from the scope and spirit of thepresent invention as described in the appended claims.

What is claimed is:
 1. A stent delivery system comprising: a drainagestent having a proximal end, a distal end, and lumen extendingtherethrough, the drainage stent including a flap along a length of atubular wall of the drainage stent; and a pull wire extending distallyfrom a handle assembly, the pull wire having an engagement member at adistal end of the pull wire extending to the drainage stent; wherein theengagement member is configured to selectively couple to the drainagestent between the flap and the tubular wall.
 2. The stent deliverysystem of claim 1, wherein the engagement member extends transverselyacross the flap.
 3. The stent delivery system of claim 1, wherein theflap comprises base connected to the tubular wall and a distal free tipextending from the base.
 4. The stent delivery system of claim 3,wherein the engagement member is coupled to the drainage stent betweenthe base and the distal free tip.
 5. The stent delivery system of claim1, wherein the engagement member is coupled to the drainage stentradially inward of the flap.
 6. The stent delivery system of claim 1,wherein the engagement member has a hook, tab, or non-longitudinallybent shape.
 7. The stent delivery system of claim 1, wherein an outersurface of the flap is continuous with an outer surface of the tubularwall.
 8. The stent delivery system of claim 1, further comprising a pushcatheter over a proximal portion of the drainage stent and the flap. 9.The stent delivery system of claim 1, wherein flap extends radiallyoutward away from the lumen from the tubular wall of the drainage stent.10. A stent delivery system comprising: a drainage stent including atubular member having a proximal end, a distal end, and lumen extendingtherethrough, the drainage stent including a flap extending radiallyoutward from the lumen from an outer wall of the tubular member of thedrainage stent; and a pull wire extending distally from a handleassembly and extending along the outer wall of the tubular member, thepull wire having an engagement member at a distal end of the pull wirepositioned at least partially inside of the outer wall of the tubularmember; wherein the engagement member is positioned at least partiallyinside of the outer wall in a first position to selectively couple thedrainage stent to the pull wire.
 11. The stent delivery system of claim10, wherein the engagement member is movable from the first position toa second position.
 12. The stent delivery system of claim 11, whereinthe engagement member extends across the flap in the first position. 13.The stent delivery system of claim 11, wherein the engagement member isproximal to the flap in the second position.
 14. The stent deliverysystem of claim 10, wherein the flap comprises base connected to thetubular wall and a distal free tip extending from the base.
 15. Thestent delivery system of claim 14, wherein the engagement member iscoupled to the drainage stent between the base and the distal free tipin the first position.
 16. A stent delivery system comprising: a pushcatheter having a proximal end, a distal end, and a lumen extendingtherethrough; a drainage stent extending from a distal portion of thepush catheter, the drainage stent including a flap along a length of atubular wall of the drainage stent; and a pull wire extending distallyfrom a handle assembly, the pull wire having a distal engagement portionconfigured to selectively couple to the drainage stent between the flapand the tubular wall.
 17. The stent delivery system of claim 16, whereinthe engagement portion of the pull wire is movable between a firstposition and a second position.
 18. The stent delivery system of claim17, wherein the distal engagement portion engages the flap in the firstposition and the distal engaging portion disengages the flap in thesecond position.
 19. The stent delivery system of claim 16, wherein theflap comprises base connected to the tubular wall and a distal free tipextending from the base.
 20. The stent delivery system of claim 16,wherein the pull wire extends between the tubular wall and the pushcatheter.